Kevin Hans Maxwell, LCAT

Primary specialty

Art TherapistTaxonomy code 221700000X

License

000345 Issued in NY

Practice address

920 48TH St
Brooklyn, NY 11219-2918

Phone

(718) 283-8403

NPI assigned

May 15, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1639346935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 38TH ST",
            "address_2": "APT. A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162751",
            "telephone_number": "646-283-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "718-283-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KEVIN",
        "middle_name": "HANS",
        "name_prefix": "Mr.",
        "credential": "LCAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "000345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Maxon
• Venesha Maxwell-Williams, RN
• Alissa Maxwell
• Corinne Maxwell
• Keisha Maxwell
• Nyesha Maxwell
• Quinntarah J Maxwell, LMHC
• Sherie Maxwell, LMSW
• Tahtyana Maxwell
• Tyler Del Maxwell, PHARMD

• Art Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Art Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.